APPLICATION FOR EMPLOYMENT

GLOBAL UNIVERSITY

1211 South Glenstone Ave. • Springfield, MO 65804

Instructions to Applicants: Fill out this form completely (Note: there are 6 pages in the form). You may send your resume in an email attachment to jpark@globaluniversity.edu; however, all sections must be completed.

PERSONAL DATA

Date:

Name:

(Last)

(First)

(Middle)

Social Security No.
Home Phone:
(###-###-####) Business Phone:

Present Address:

Email Address:

City:

Zip

Previous Address:

City:
Zip

State Age if under 18

Are you a US Citizen?
Yes
No

If no, do you have a work visa?
Yes
No
Not Applicable
(Proof of citizenship or immigration status will be required upon employment)

Specific position applied for:

Rate of pay expected:

$
per

Are you available to work:

Full Time
Part-time
Temporary
Seasonal

If part-time, specify hours:

Are you a student?
Yes
No
If yes, be specific:

If yes, how many credit hours before you graduate?

On what date would you be available for work?

Have you previously made application with us?
Yes
No
If yes, date?

Have you ever worked for us before?
Yes
No
If yes, when?

Are you presently employed?
Yes
No
May we contact your present employer?
Yes
No
Not Applicable